| NPI | 1952369795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00045419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 226667) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2011-05-15 |